職種間共通のがん化学療法レジメンシートの開発と電子カルテにおけるその運用

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In cancer chemotherapy, pharmacists play an important role by checking dosages, dosing schedule and other prescription details. For this purpose, we created a "Cancer Chemotherapy Regimen Sheet" for common use among medical staff. The sheet makes it easy for doctors to input data into the electronic medical recording system. It features automatic calculation of body surface area when the height and body weight are input, automatic selection of the proper standard for the anticancer drug to be used and their numbers when dosages are input and automatic calculation of the necessary volumes of anticancer drugs and drip injection speed. It also functions as a work sheet for the mixing of anticancer drugs in a sterile condition by pharmacists and administration of medications to patients by nurses, and may be used by doctors to explain chemotherapy regimens and the details of pharmaceutical care to patients. In December 2006, we made 37 Cancer Chemotherapy Regimen Sheets for 23 regimens for gastric, colorectal, pancreatic, liver, breast and urothelial cancer. Further, after introducing our electronic medical recording system, its monthly mean use in outpatient and inpatient chemotherapy was 39.9 and 28.4 times, respectively and the use of the Cancer Chemotherapy Regimen Sheet was 100% and 68.8%, respectively. The making of the sheet has produced standardized information which may be used by all medical staff and shared with patients, and it has contributed to reinforcing risk management.
日本医療薬学会の論文
2007-09-10

職種間共通のがん化学療法レジメンシートの開発と電子カルテにおけるその運用

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